MEDICARE: GRETCHEN NICOLE FLAUGH BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1326613258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN NICOLE FLAUGH BCBA

Provider Business Mailing Address
First Line	:	146 FEATHERS LN
Second Line	:
City	:	EAST FREEDOM
State	:	PA
Zip	:	16637-8618
Country	:	US
Telephone Number	:	814-935-4010
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 ZEE PLZ
Second Line	:
City	:	HOLLIDAYSBURG
State	:	PA
Zip	:	16648-1003
Country	:	US
Telephone Number	:	814-788-2109
Fax Number	:	814-554-3066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	10/13/2024

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Directions to “ GRETCHEN NICOLE FLAUGH BCBA” Practice Location

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